BS23JOB____________________ 



Exterior Color__________________________ 



Interior Color___________________________ 




Please include a legible pencil rubbing of your fender tag or write down the info as you see it on the tag. Whichever is easier. 




Pick your options, one from each category 


____4 Speed Pistol Grip 

____Slapstick Automatic 

____Column Shift Automatic 



____Clear Glass-Full
 
____Tinted Class-Full
 
____Tinted Windshield only 



____Radio Delete
 
____AM Radio
 
____AM/8 Track
 
____AM/FM Stereo 




____Top-Matching Paint
 
____Vinyl Top-Boars grain
 

 

____Vinyl Seats

 
____Cloth insert w/Vinyl  Seats
  
     
____Leather w/ Vinyl Seats and overhead console 





____Standard Gauges

 
____Standard Gauges w/ clock
 

____Rally Cluster Gauges

 



____Manual Steering

 
____Fast Ratio Power Steering 


____ Standard Power Steering 





____Standard Steering Wheel 


____Standard Wheel w/ Horn Ring 


____Rim Blow Steering Wheel



 

____15X7 Steel Wheels 


____15X7 Rally Wheels 






____Single Racing Mirror 


____Dual Racing Mirrors 





____3.55 Axle Ratio 


____3.91 Axle Ratio 







Individual Options- Check as applicable 



____Light Package 

____Rear Window Louvers 

____Rear Shoulder Belts 

____Seat Belt Group w/FSB Lamps 

____Center Console 

____Six Way Seats
 
____Floor Mats 

____Bench Seat 

____50 Amp Alternator
 
____70 Amp Alternator
 
____Defogger 

____Variable Speed Wipers 

  

____Pedal Dress Up 

____Undercoating 

____Front Chin Spoilers 

____Headlight Time Delay 

____Door edge moldings
 
____Sill Moldings (Rocker) 

____Wheel Lip Moldings 

____Sunroof 

____Front Bumper Guards, ____Rear Bumper Guard Ins.
 
____ECS- California Emission 

____Power Windows
 
____Rear Speakers 





Other information________________________________________________ 

__________________________________________________________
  
 
 



  
Date_____________________ 
  
  
Signature_____________________ 
  
  
Please mail to this address 
  
Transamcuda.com 
123 Macintosh Drive 
Palmyra Pa 
17078